Organization · Type 2 NPI
La Casa de Buena Salud Inc
Federally Qualified Health Center (FQHC) · Clovis, NM
NPI number
1710283155
Active
Practice location
1121 Maple Street
Clovis, NM 88130
Fax (575) 356-5948
Mailing address
PO Box 843
Portales, NM 88130-0843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1710283155
La Casa de Buena Salud Inc's National Provider Identifier is 1710283155, issued on Feb 2, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Clovis, NM. The record was last updated on Feb 2, 2011.